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BlankPatriotCityCauseandOriginReport.docx
Patriot City Fire Marshal Office – Cause and Origin Report
Incident #:
Incident Date:
Incident Time:
Lead Investigator:
Incident Address:
Incident Apartment:
Incident Description:
Goal of Investigation:
Civilian Injuries:
Structure Description:
Insurance Information:
Weather:
Legal Authority to Enter:
Scene Security:
Fire Extinguishment Method:
Statements and Interviews:
Witness #1:
Witness #2:
Witness #3:
Fuel Load:
Area of Origin:
Flame Spread:
Description of Exterior Damage:
Description of Interior Damage:
Living Room:
Kitchen:
Bedroom:
Bathroom:
Utility Closet:
Description of Burn Patterns:
Conclusion:
Classification of Fire:
Area of Origin:
Cause of Origin:
Photo Log:
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Location of Picture |
Picture Number |
Description of Picture |
Notes |
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